NPI | 1992340103 |
---|---|
Former Name | ALYSSA ASHLEY ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100213) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2019-11-12 |
Last Update Date | 2025-07-01 |